Despite being shamed for overcharging patients, hospitals raised their prices, again

Stephan:  America does not have a healthcare system based on fostering wellbeing; we have an illness profit system. The first priority is profit. And that is the reason we rank 37th in the world.  Here is some of the latest evidence of this reality. As this report makes clear greed trumps shame.
Hospital bills are confusing, frustrating and often unreasonably expensive. Credit: iStock

Hospital bills are confusing, frustrating and often unreasonably expensive.
Credit: iStock

A year ago, a study about U.S. hospitals marking up prices by 1,000 percent generated headlines and outrage around the country.

Twenty of those priciest hospitals are in Florida, and researchers at the University of Miami wanted to find out whether the negative publicity put pressure on the community hospitals to lower their charges. Hospitals are allowed to change their prices at any time, but many are growing more sensitive about their reputations.

What the researchers found, however, was that naming and shaming did not work. The researchers looked at the 20 hospitals’ total charges in the quarter of a year before the publicity and compared them to charges in the same quarter following the publicity. There was no evidence that the negative publicity resulted in any reduction in charges. Instead, the authors found that overall charges were significantly higher after the publicity than in previous quarters.

US ranks lower than Kazakhstan and Algeria on gender equality

Stephan:  Because we will not, or perhaps cannot, tell ourselves the truth about ourselves as a nation, the United States is slowly becoming a second tier society in everything but military power -- and given the failures of the F-35 and the new Zumwalt class destroyer there are questions even there. Anyone who has flown internationally, or driven in Europe, Japan, or China knows how second rate our transportation infrastructure has become. But it is more than that. Then there is the poor status of our healthcare system, and such fundamental existential social aspects as gender equality. Here are some actual facts.
People queue at a free medical clinic in Wise, Virginia. Fourteen women died per 100,000 live births in the US in 2015 – a similar number to Uruguay and Lebanon. Credit: Pete Marovich/Bloomberg

People queue at a free medical clinic in Wise, Virginia. Fourteen women died per 100,000 live births in the US in 2015 – a similar number to Uruguay and Lebanon.
Credit: Pete Marovich/Bloomberg

The US, the world’s biggest economy, ranks below Kazakhstan and Algeria for gender equality, according to a report showing the countries that offer the most opportunities for girls. (emphasis added)

Niger was named the worst country in the Girls’ Opportunity Index, compiled by Save the Children to mark International Day of the Girl.

The US came 32nd in the index due to its low representation of women in parliament, high teenage pregnancy rates and and its record on maternal deaths. Fourteen women died per 100,000 live births in the US in 2015, […]

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For These Americans, Clean Water Is a Luxury

Stephan:  Yesterday as I was doing SR  I felt pretty good about things; today not so much. In the United States we spend trillions on war and weapons -- essentially dead end dollars, since their function is to be blown up.  Yet, as this report lays out, "About a half a million American households lack basic plumbing amenities like hot water, a tap or toilet, according to the Census Bureau. As in Flint, they are disproportionately poor and minority." Did you know that? Neither did I, and I find it unutterably depressing. Our priorities are totally out of whack. As you read this, please note the tiny sums of money that would be required to fix this situation. And may I suggest you consider making a donation to the foundation Digdeep mentioned in this article, Ronlyn and I will be doing so. Water is destiny.
Navajo Reservation family in the doorway of their house. Credit: Daily Mail

Navajo Reservation family in the doorway of their house.
Credit: Daily MailLOS ANGELES — Most Americans take safe water for granted: Turn the tap, and there it is. But recent protests against the Dakota Access pipeline on the Standing Rock Reservation in South Dakota are a reminder that some Americans still worry every day about having enough clean water to survive.

As events in Standing Rock and Flint, Mich., capture national attention, long-running water emergencies fester in near-total obscurity elsewhere across the country, many of them on native reservations.

Nearly 24,000 Native American and Alaska Native households somehow manage without access to running water or basic sanitation, according to 2015 figures from the Indian Health Service, living in what my organization calls “water poverty.” About 188,000 such households were in need of some form of water and sanitation facilities improvement.

Perhaps the worst case is on the sprawling Navajo reservation in the […]

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Why Food Companies Have Stopped Trying to Change Your Mind About GMOs

Stephan:  Here is some good news and a proof of the power of the quotidian choice I keep talking about.  How you as an individual can make even large corporations change their behavior through your small choices. I chose this story on this subject because it was in a magazine totally committed to corporate power and profit; I thought it made the point very nicely. Note the comments about how whatever corporate science may say at the end of the day corporations have to change anyway. I take this as excellent news.

“We just follow the consumer.”

Who decides the future of food? You do.

Speaking on a panel at Fortune’s Most Powerful Women Summit on Tuesday, Sally Grimes, chief global growth office and president of Tyson Foods, noted that when it comes to issues like genetically modified organisms (GMOs), shoppers’ beliefs don’t always line up with the science. “So for us, we just follow the consumer,” said Grimes. “We don’t try to convince the consumer that GMOs aren’t bad.”

It’s not that she doesn’t think that the food industry has a responsibility to inform its customers, she said. “When the science is there, we share the science. But there are personal value systems that aren’t necessarily driven by scientific fact—then we’re going to follow the consumer.”

Fellow panelist Beth Ford, Land O’Lakes COO and group EVP, noted that it’s not just ingredients that matter to shoppers. “Millennials especially are making decisions about their food based on the values of the company.”

Hint water founder and CEO Kara Goldin agreed: “They want to know everything from where is the food coming from, to what are you going to do with that plastic bottle afterwards.”

So, how do you please consumers that wants […]

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Editor’s Note – Seismic Change

Stephan:  Readers know that I cover fact based trends that will affect our future. When the trends are bad I report that, when they are good I report that. My commitment is to try to ferret out the significant trends and to report them as accurately as I can. Today's edition of SR is dedicated to what I see as a seismic  change and, happily a positive one -- the world's exit out of the carbon energy age. The implications are staggering for a wide range of industries, and will have a profound impact on society itself. -- Stephan
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